Active NPI 1457517260 Individual Practitioner Male Practitioner

Dr. Kenneth K Chen , MD

Internal Medicine • Providence, RI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Chen, MD is a certified Internal Medicine practicing in Providence, RI. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Chen delivers high-quality medical care to the local community at 101 DUDLEY ST.

Dr. Chen is affiliated with Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

101 Dudley St

Providence, RI 029052401

Telephone 4012741100

Associated Practice Facility / Clinic

🏢 Women & Infants Hospital Of Rhode Island Facility NPI 1447233788

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Providence, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +9.2 yrs vs City Avg

City Avg: 17.8 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

523 Specialists

Practicing in Providence, RI (1079 Statewide)

Telehealth Adoption Rate

9.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

68.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Chen (27 Years) 27 Yrs

Providence Specialty Average (17.8 Years) 17.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	47	38	$52.00	$17.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	23	$324.21	$101.73
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$214.39	$65.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$481.00	$151.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$441.18	$139.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	29	18	$214.00	$66.68
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	12	$237.00	$120.09
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	18	15	$19.00	$8.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	27	24	$19.22	$8.42
99213 Established patient office or other outpatient visit, typically 15 minutes	25	15	$210.96	$68.58
99442 Telephone medical discussion with physician, 11-20 minutes	16	12	$196.50	$68.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	51	33	$20.00	$8.65
99213 Established patient office or other outpatient visit, typically 15 minutes	50	31	$176.00	$70.27
99442 Telephone medical discussion with physician, 11-20 minutes	27	20	$141.89	$69.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	11	$172.00	$74.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	48	37	$20.00	$8.88
99442 Telephone medical discussion with physician, 11-20 minutes	29	24	$65.69	$62.26
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$176.00	$53.47
99442 Telephone medical discussion with physician, 11-20 minutes	16	15	$66.00	$53.85
99443 Telephone medical discussion with physician, 21-30 minutes	14	13	$97.00	$95.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	44	25	$175.45	$52.78
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	43	39	$20.00	$8.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$255.37	$78.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	56	45	$20.00	$8.77
99213 Established patient office or other outpatient visit, typically 15 minutes	22	16	$170.00	$53.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$252.00	$79.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	26	19	$170.00	$50.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	12	$167.00	$71.69
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	19	18	$20.00	$8.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$316.00	$135.80

Medical Specialties & State Licenses

CMS Verified: 2023-12-14

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI MD16360

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine - Endocrinology, Diabetes & Metabolism

NUCC Taxonomy Code: 207RE0101X

State License RI MD16360

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Hospital & Practice Group Affiliations

Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc

330 Brookline Ave, Boston, MA 022155400

Phone: 6177548612

Secondary Practice Locations

100 Dudley Street, Wih Obstetric And Consultative Medicine

Providence, RI 029053233

Phone: 4014537950

455 Toll Gate Rd, Asp Bldg-Endocrinology

Warwick, RI 02886

Phone: 4017361034

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Alicia Caprio

Student in an Organized Health Care Education/Training Program

NPI 1003539081

Dr. Brittany Hampton , MD

Obstetrics & Gynecology - Female Pelvic Medicine and Reconstructive Surgery

NPI 1003839234

Doctor of Medicine (M.D.)

Heidi Fanion , LCSW

Social Worker - Clinical

NPI 1003843301

Licensed Clinical Social Worker

Bethany Dawson , LICSW

Social Worker - Clinical

NPI 1023047222

Licensed Independent Clinical Social Worker

Erin Dobson , RNP

Nurse Practitioner

NPI 1023230554

Nicole Polillio , NP

Nurse Practitioner - Family

NPI 1033004189

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Business Mailing Address November 16, 2023

Registered at 455 TOLL GATE RD, PRC AND CREDENTIALING, WARWICK, RI 028862759 (Tel: 4012730641)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2023

Internal Medicine (License #MD16360 in RI)

✅

NPI Profile Active November 28, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location November 28, 2011

Registered at 101 DUDLEY ST, PROVIDENCE, RI 029052401 (Tel: 4012741100)

📍

Updated Business Mailing Address November 28, 2011

Registered at 101 DUDLEY ST, PROVIDENCE, RI 029052401 (Tel: 4012741100)

👤

Provider Name / Credentials Updated November 28, 2011

Recorded as KENNETH CHEN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2011

Internal Medicine (License #LA00010 in RI)

🟢

Initial NPI Registration & Enumeration July 31, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457517260

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 31, 2008

Last Update: December 15, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

455 Toll Gate Rd, Prc And Credentialing

Warwick, RI 028862759

Phone: 4012730641

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.